Individual provider Active NPI

Basma Elsawy

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1649655580
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
295442 Issued in NY
Practice address
235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone
(718) 876-1732
Fax
(718) 442-0189
NPI assigned
Jul 21, 2015
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 295442 NY Primary

Addresses

Primary practice location

235 Port Richmond Ave
Staten Island, NY 10302-1701

Mailing address

2935 Ocean Pkwy Apt 5a
Brooklyn, NY 11235-8037
Phone (917) 588-6030

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Other practice location 2

439 Port Richmond Ave
Staten Island, NY 10302-1714
Phone (718) 876-1732

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL belsawy@chcrichmond.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922000361 NY Practitioner - Internal Medicine 2961813928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Doctor's Medical PCGroup PAC ID 7416005103, 15 clinicians
Physicare Multi Services LTDGroup PAC ID 9032212295, 9 clinicians

Practice addresses (Care Compare)

2116 Ave P
Brooklyn, NY 11229-1507
Phone (718) 338-1616

2968 Ave X
Brooklyn, NY 11235-1808
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234-2609
Phone (718) 253-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Richmond, Inc CurrentSince Sep 25, 2019 Accepting new patients
Asya Benin MD LLC Internal Medicine CurrentSince Aug 8, 2024 Accepting new patients
Physicare Multi Services LTD Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Doctor's Medical P.C CurrentSince Sep 15, 2022 Accepting new patients
Community Health Center of Richmond Inc PastSince Sep 25, 2019 Accepting new patients

Locations

2116 Avenue P
Brooklyn, NY 11229
Phone (718) 338-1616

2968 Avenue X
Brooklyn, NY 11235
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 253-3900

235 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 876-1732

439 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 876-1732

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJJAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1649655580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 OCEAN PKWY APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358037",
            "telephone_number": "917-588-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-876-1732",
            "fax_number": "718-442-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 Port Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103021714",
            "country_code": "US",
            "telephone_number": "718-876-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSAWY",
        "first_name": "BASMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "belsawy@chcrichmond.org",
            "affiliation": "N",
            "address_1": "235 Port Richmond Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103021701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.